Medicare Enrolled
Dr. Laura Durling, MD
Internal Medicine · Shenandoah, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Durling from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Durling
Dr. Laura Durling is an internal medicine specialist in Shenandoah, TX, with 15 years of NPI registration. Based on federal Medicare data, Dr. Durling performed 6,564 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Durling received a total of $4,479 from 46 pharmaceutical and/or device companies across 236 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Durling is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years of NPI registration
▲ Top 5% volume in TX
$4,479 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗6,564
Medicare services
Top 5% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$31
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
761 | $84 | $894 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
608 | $10 | $94 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
559 | $8 | $69 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
516 | $10 | $86 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
490 | $13 | $119 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
444 | $16 | $149 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
442 | $9 | $80 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
431 | $41 | $525 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
392 | $53 | $610 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
261 | $124 | $958 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
196 | $29 | $263 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
175 | $37 | $418 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
159 | $30 | $325 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
110 | $6 | $51 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
109 | $5 | $46 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
86 | $37 | $519 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
75 | $15 | $134 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
69 | $18 | $164 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
59 | $3 | $28 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
52 | $15 | $169 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
49 | $13 | $121 |
| Iron level test | 49 | $6 | $58 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
49 | $12 | $113 |
| PSA test (prostate cancer screening) | 41 | $18 | $164 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
40 | $8 | $137 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
38 | $29 | $250 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
33 | $14 | $131 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
26 | $14 | $157 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
23 | $10 | $140 |
| Methylprednisolone injection, up to 125 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, with a dosage of up to 125 mg. |
23 | $3 | $56 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
21 | $16 | $207 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
20 | $8 | $75 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
19 | $4 | $40 |
| Influenza B virus detection test A laboratory test that uses immunofluorescent techniques to detect the presence of the influenza B virus in a sample. |
18 | $12 | $107 |
| Influenza A virus detection test A laboratory test that uses immunofluorescent techniques to detect the presence of the influenza A virus in a sample. |
18 | $16 | $129 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
16 | $7 | $60 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
16 | $158 | $1,371 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
15 | $35 | $800 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
15 | $16 | $132 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
15 | $68 | $890 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
13 | $94 | $766 |
| COVID-19 viral test, high throughput A laboratory test to detect the SARS-CoV-2 virus using high-throughput technology. This test identifies multiple types or subtypes of the virus and is performed by non-CDC laboratories. |
13 | $68 | $800 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$4,479
Total received (2018-2024)
Avg $640/year across 7 years
Top 18% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
46
Companies
236
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,077
2023
$535
2022
$730
2021
$332
2020
$313
2019
$652
2018
$839
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$328
Lilly USA, LLC
$259
Dexcom, Inc.
$142
Novo Nordisk Inc
$58
Amgen Inc.
$54
SpringWorks Therapeutics, Inc.
$38
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$28
PFIZER INC.
$26
Pharmacosmos Therapeutics Inc.
$24
Endo USA, Inc.
$21
Edwards Lifesciences Corporation
$20
ABBVIE INC.
$19
180 Medical, Inc.
$17
IBSA Pharma Inc.
$15
GlaxoSmithKline, LLC.
$14
Exact Sciences Corporation
$14
Top 3 companies account for 67.8% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$975
AstraZeneca Pharmaceuticals LP
$651
Lilly USA, LLC
$589
Amgen Inc.
$287
ABBVIE INC.
$168
Tosoh Bioscience, Inc.
$160
GlaxoSmithKline, LLC.
$147
Dexcom, Inc.
$142
UCB, Inc.
$125
AbbVie Inc.
$117
Abbott Laboratories
$112
Bayer HealthCare Pharmaceuticals Inc.
$86
Janssen Pharmaceuticals, Inc
$83
Astellas Pharma US Inc
$73
Bayer Healthcare Pharmaceuticals Inc.
$63
Mauna Kea Technologies, Inc.
$52
PFIZER INC.
$50
SpringWorks Therapeutics, Inc.
$38
Boehringer Ingelheim Pharmaceuticals, Inc.
$35
Radius Health, Inc.
$31
Janssen Biotech, Inc.
$29
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$28
PhotoniCare Inc
$27
Horizon Therapeutics plc
$26
Boston Scientific Corporation
$24
Pharmacosmos Therapeutics Inc.
$24
OptiNose US, Inc.
$23
Servier Pharmaceuticals LLC
$22
Allergan Inc.
$21
Endo USA, Inc.
$21
Edwards Lifesciences Corporation
$20
Smith & Nephew, Inc.
$19
Regeneron Healthcare Solutions, Inc.
$18
Nevro Corp.
$18
180 Medical, Inc.
$17
Medtronic, Inc.
$17
Novartis Pharmaceuticals Corporation
$16
Biohaven Pharmaceutical Holding Company Ltd.
$16
IBSA Pharma Inc.
$15
IDORSIA PHARMACEUTICALS US INC
$14
Exact Sciences Corporation
$14
Sunovion Pharmaceuticals Inc.
$14
Endo Pharmaceuticals Inc.
$13
AbbVie, Inc.
$13
SANOFI-AVENTIS U.S. LLC
$13
Amarin Pharma Inc.
$13
Top 3 companies account for 49.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · BASAGLAR · BEVESPI AEROSPHERE · BREZTRI · BYSTOLIC · CAPLYTA · CHANTIX · CLOSUREFAST · CREON · Cologuard Collection Kit · DEXCOM G7 GSS (161) · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · ENTRESTO · EVENITY · FARXIGA · FORTEO · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · G8 Column · GENTLECATH · JARDIANCE · KRYSTEXXA · Kerendia · LIBTAYO · LONHALA MAGNAIR · MONOFERRIC · MOUNJARO · MYRBETRIQ · NASCOBAL · NURTEC ODT · OGSIVEO · OtoSight Middle Ear Scope · Ozempic · PICO · PREVNAR - 13 · PREVNAR 20 · Proclaim IPG · Prolia · QULIPTA · QUVIVIQ · REMICADE · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SUPERION · SYMBICORT · SYNTHROID · Senza · Synthroid · TIBSOVO · TOUJEO · TRULICITY · Tirosint · Tresiba · Tymlos · UBRELVY · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIAFLEX · Xhance · ZEPBOUND
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
711
County median income
$97,266
Nearest hospital to ZIP centroid (approximate)
HOUSTON METHODIST THE WOODLANDS HOSPITAL
4.2 mi
4.2 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Durling is a clinical cardiology specialist, with above-average Medicare volume (top 5% in TX), with 15 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Durling experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Durling performed 761 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Durling receive payments from pharmaceutical companies?
Yes. Dr. Durling received a total of $4,479 from 46 companies across 236 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Durling's costs compare to other internal medicine physicians in Shenandoah?
Dr. Durling's average Medicare payment per service is $31. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Durling) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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